I appreciate the snarky responses from skeptics of Dr. Littman’s study, but the sheer amount of resistance & people devoted to “lying and answering everything wrong” prove the point that people are malicious and think detransition is political and anti-trans.
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If you can flag factors in a patient seeking to start HRT that are on trend with patients who have been on HRT for years but detransitioned after some time, you could potentially stop that person from making a decision that ultimately makes them feel worse.
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No doctor wants to make their patient feel worse in the long run, so perhaps those factors would be selected as a primary focus in therapy for individuals very adamant about HRT/SRS just to ensure the issue that is deeply affecting them is actually addressed prior to care.
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A personal example of this - being traumatized may impact transition decisions. I started HRT while still living near my abuser aka while my body was still in hypervigilant defense mode, so when I moved away and was still on T, I was so focused on T changes I ignored my body’s
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trauma responses. I felt good when I did my T shot but didn’t understand why I still had nightmares and didn’t understand why I still had panic attacks or why I was still so DYSPHORIC despite passing and changing my name & gender legally. I wanted surgery.
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But I had developed PTSD without realizing what that meant until years down the line from this point. I was living my life day to day like I was under extreme pressure. T made me more full of rage than I’ve ever been. I’d get scary. I’d self-harm & self-hate.
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I didn’t want to give up T, the one good thing in my life that actually made me feel like a person (my mentality at the time), so I tried dealing with my rage & nightmares & panic other ways. I basically ended up just doing a lot of drugs to numb the emotional pain.
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The whole time I’m high 24/7, ripping myself to metaphorical shreds, and watching my life crumble around me, my trans friends are doing the same thing. they’re also on twitter, responding to my selfie with hollow red eyes and stubble, with endless “you look so handsome jesse!”’s
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My therapist knows about all this, and she knows i’m traumatized. Only shes a gender therapist. So she just keeps suggesting I try a new gender identity. Her: what about they/them? maybe you’re non-binary? you felt comfortable with that in the past Me: i’m a man i’m just /not/
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eventually stopped seeing the gender therapist and spent a lot of months in isolation. I like to joke that the cure for dysphoria is sometimes months in isolation. the dark times ended with helena and I taking a random ski trip to Colorado, and realizing that we CAN detransition
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a couple months passed, and it wasn’t until I found a trauma therapist thanks to helena’s sweet love and help, to really help me get to the bottom of what was going on. HRT did help me but not the way I needed it to. I needed to know I could be me, for myself and no one else.
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Not cool Jesse, not handsome Jesse, not male Jesse, just whatever Jesse I ended up being. And the people who matter see the real me no matter what. I still deal with dysphoria. but I wonder if, with this research, we can really really help people understand it.
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End of conversation
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